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左心发育不全综合征——经皮支持治疗综述

Hypoplastic left heart syndrome - a review of supportive percutaneous treatment.

作者信息

Moszura Tomasz, Góreczny Sebastian, Dryżek Paweł

机构信息

Department of Cardiology, Polish Mothers Memorial Hospital, Research Institute, Lodz, Poland ; Department of Paediatric Cardiology and Nephrology, Poznan University of Medical Sciences, Poland.

Department of Cardiology, Polish Mothers Memorial Hospital, Research Institute, Lodz, Poland.

出版信息

Postepy Kardiol Interwencyjnej. 2014;10(3):201-8. doi: 10.5114/pwki.2014.45148. Epub 2014 Sep 11.

Abstract

Due to the complex anatomical and haemodynamic consequences of hypoplastic left heart syndrome (HLHS), patients with the condition require multistage surgical and supportive interventional treatment. Percutaneous interventions may be required between each stage of surgical palliation, sometimes simultaneously with surgery as hybrid interventions, or after completion of multistage treatment. Recent advances in the field of interventional cardiology, including new devices and techniques, have significantly contributed to improving results of multistage HLHS palliation. Knowledge of the potential interventional options as well as the limitation of percutaneous interventions will enable the creation of safe and effective treatment protocols in this highly challenging group of patients. In this comprehensive review we discuss the types, goals, and potential complications of transcatheter interventions in patients with HLHS.

摘要

由于左心发育不全综合征(HLHS)复杂的解剖学和血流动力学影响,患有该病症的患者需要进行多阶段手术和支持性介入治疗。在手术姑息治疗的每个阶段之间可能需要进行经皮介入治疗,有时作为混合介入治疗与手术同时进行,或者在多阶段治疗完成后进行。介入心脏病学领域的最新进展,包括新设备和新技术,对改善多阶段HLHS姑息治疗的结果做出了重大贡献。了解潜在的介入选择以及经皮介入的局限性,将有助于为这一极具挑战性的患者群体制定安全有效的治疗方案。在这篇全面综述中,我们讨论了HLHS患者经导管介入治疗的类型、目标和潜在并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e964/4252312/4dc7c7699770/PWKI-10-23513-g001.jpg

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